Organization · Type 2 NPI
Bespoke Dental Boston
Dental Clinic/Center · Boston, MA
NPI number
1124595111
Active
Practice location
11 Newbury St Fl 4
Boston, MA 02116-3138
Mailing address
48 Saint Germain St Apt 4
Boston, MA 02115-3241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1124595111
Bespoke Dental Boston's National Provider Identifier is 1124595111, issued on Oct 28, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boston, MA. The record was last updated on Oct 28, 2018.